House Bill 4053
CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 1998 HB 4053
By Representative Ziebarth
1 A bill to be entitled
2 An act relating to health insurance; amending
3 s. 627.42395, F.S.; increasing the allowable
4 amount for certain food products covered under
5 enteral formula insurance requirements;
6 amending s. 641.31, F.S.; requiring health
7 maintenance contracts or policies to provide
8 coverage for use of enteral formulas under
9 certain circumstances; providing application;
10 providing an effective date.
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12 Be It Enacted by the Legislature of the State of Florida:
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14 Section 1. Section 627.42395, Florida Statutes, is
15 amended to read:
16 627.42395 Coverage for certain prescription and
17 nonprescription enteral formulas.--Notwithstanding any other
18 provision of law, any health insurance policy delivered or
19 issued for delivery, to any person in this state or any group,
20 blanket, or franchise health insurance policy delivered or
21 issued for delivery in this state shall make available to the
22 policyholder as part of the application, for an appropriate
23 additional premium, coverage for prescription and
24 nonprescription enteral formulas for home use which are
25 physician prescribed as medically necessary for the treatment
26 of inherited diseases of amino acid, organic acid,
27 carbohydrate, or fat metabolism as well as malabsorption
28 originating from congenital defects present at birth or
29 acquired during the neonatal period. Coverage for inherited
30 diseases of amino acids and organic acids shall include food
31 products modified to be low protein, in an amount not to
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CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 1998 HB 4053
559-148-98
1 exceed $3,500 $2,500 annually for any insured individual,
2 through the age of 24. This section applies to any person or
3 family notwithstanding the existence of any preexisting
4 condition.
5 Section 2. Subsection (34) is added to section 641.31,
6 Florida Statutes, to read:
7 641.31 Health maintenance contracts.--
8 (34) Notwithstanding any other provision of law, each
9 health maintenance contract or policy shall provide to the
10 subscriber coverage for prescription and nonprescription
11 enteral formulas for home use which are physician prescribed
12 as medically necessary for the treatment of inherited diseases
13 of amino acid, organic acid, carbohydrate, or fat metabolism
14 as well as malabsorption originating from congenital defects
15 present at birth or acquired during the neonatal period.
16 Coverage for inherited diseases of amino acids and organic
17 acids shall include food products modified to be low protein,
18 in an amount not to exceed $3,500 annually for any insured
19 individual, through the age of 24. This subsection applies to
20 any person or family notwithstanding the existence of any
21 preexisting condition.
22 Section 3. This act shall take effect upon becoming a
23 law.
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CODING: Words stricken are deletions; words underlined are additions.
Florida House of Representatives - 1998 HB 4053
559-148-98
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2 HOUSE SUMMARY
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Requires health maintenance contracts or policies to
4 provide for use of enteral formulas necessary to treat
inherited diseases of amino acid, organic acid,
5 carbohydrate, or fat metabolism as well as malabsorption
originating from congenital defects present at birth or
6 acquired during the neonatal period. Requires such
coverage to include up to $3,500 annually for food
7 products modified to be low protein and applies such
$3,500 amount to individual, group, blanket, or franchise
8 health insurance policies. See bill for details.
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